NPI | 1811263635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0071272) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD188782) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2023-09-05 |